Cuenca DJ

Language: Spanish
References: 12
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ABSTRACT

Objetive: To compare the clinic efficiency of local anesthetic in cervical epidural anesthesia, for upper extremity surgical procedures. Material and methods: This is a randomized, time-course followed, prospective, and comparative study, in which 60 patients were included.These patients showed E and U, I and II B physical evaluation into the A.S.A. classification scale, and were under surgery from upper extremities. Then, the patients were distributed in two groups. Group A: cervical epidural anesthesia, group with lidocaine 2% with epinephrine 200 mg, for the first dose, and bupivacaine 0.5%, 50 mg for the following doses. B: cervical epidural anesthesia with Ropivacain 0.75%, 75 mg, for the unique dose. Same pre-medication were administered for all patients with Nalbufin 300 mcg/kg and Atropin Sulfate 10 mcg/Kg. Population characteristics, latency time, anaesthetic time, surgery time, middle blood pressure, heart rate, oxygen saturation, duration and magnitude of motor block and anesthesia/analgesia quality were compared. Results: Group A showed the shortest latency time 10±3 minutes; group B 16±1.5 min. p‹0.05. During surgery and in the postoperative period, hemodynamic variables did not show any statistically significative difference between patients from the same group, and those from different groups. The motor block was bigger and longer in A than B. One hundred percent of the patients evaluated the anesthesia/analgesia as excellent in both groups. Conclusions: The two groups approaches for the brachial plexus block are safe and efficient; nevertheless, Ropivacain anesthesia resulted in a longer latency, duration, and less motor blockade for the patients.

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